EC
EVA CAPPELLO
CE352814 · 11/15/1937 · Updated 04/10/2026
On Hold
Basic Information
| Patient Record Number: | CE352814 |
| Date of Birth: | 11/15/1937 |
| Age: | 88 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/10/2026 05:29 PM |
Contact Information
| Mobile Phone: | (708) 456-5754 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
2526 N. 74th Ave.
Second Floor
Elmwood Park, IL 60707 Coordinates: 41.9263246, -87.8115119
Second Floor
Elmwood Park, IL 60707 Coordinates: 41.9263246, -87.8115119
Home Health Nurse
ESPERANZA HOME HEALTH CARE
| Phone: | 708-452-7612 |
| Fax: | 773-562-0755 |
| Status: | Active |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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Patient Documents
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Total Claims-
Total Paid-
Denials-
Payment RateRemittance Claims
| Service Date | Procedure | Provider | Billed | Allowed | Paid | Status | Remit Date |
|---|---|---|---|---|---|---|---|
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Patient On Hold
Hold Reason: no poc
Hold Since: 07/03/2025
Hold Until: Indefinite